title: ["The ambulatory surgery of breast reduction: The adaptation to a North-American practice"].
abstract: OBJECTIVE
  After the recent publication of the prospective study of feasibility of mammary reduction in ambulatory setting by Guilbert et al., we would like to present our North-American experience and share some data from the last year.
  
  
  METHODS
  We obtained four data from our medical archives: the total number of reduction mammaplasties done during the last year, the number of cases done in ambulatory setting, the number of cases done with hospitalization, and the number of conversions (ambulatory cases transformed into hospitalizations lasting more than 24 hours)
  
  
  RESULTS
  Two hundred and eighteen bilateral mammary reductions were completed between March 2011 and April 2012. Of these 218 cases, 97% were planned for a surgery in ambulatory setting whereas only six were planned with hospitalization. Moreover, only seven of the 212 cases in ambulatory setting required a conversion to a brief hospitalization.
  
  
  CONCLUSIONS
  Cost-effectiveness, low rate of complication, and high satisfaction rate are all advantages of surgery in ambulatory setting. Our 10-year experience with this mode of care confirms these benefits.
authors.affiliation: Service de chirurgie plastique du centre hospitalier de l'université de Montréal, Québec, Canada; Service de chirurgie plastique et reconstruction, campus Notre-Dame, 1560, rue Sherbrooke Est, Montréal, Québec, Canada. Electronic address: mostafa.el-diwany@umontreal.ca.
authors.forename: M
authors.initials: M
authors.lastname: El-Diwany
authors.forename: A M
authors.initials: AM
authors.lastname: Danino
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*
keywords: Ambulatory surgery; Chirurgie ambulatoire; Choix de pédicules; Mammary reduction; Pedicle choice; Réduction mammaire